RT Journal Article
T1 Pain assessment in mechanically ventilated, non-communicative severe trauma patients
A1 López López, Candelas
A1 Pérez Pérez, Teresa
A1 Beneit Montesinos, Juan Vicente
A1 García Klepzig, José Luis
A1 Martinez-Ureta, Mercedes Virginia
A1 Murillo Pérez, María Del Ara
A1 Torrente Vela, Silvia Ana
A1 García-Iglesias, Mónica
A2 Mikhail, Judy N.
AB The aim of this study was to measure pain levels in noncommunicative patients with severe trauma who required tracheal suctioning and mobilization and to determine the utility of the Behavioral Indicators of Pain Scale (ESCID) in these cases. The pain scores for the procedures were recorded on Days 1, 3, and 6 of the patients' stay in the intensive care unit. These assessments were performed at 3 moments: before, during, and after the application of the procedures. Because of the longitudinal character of the study, data were fitted into a multivariate model using the Generalized Estimating Equations method. The sample of 124 patients comprised 77.4% males and 22.6% females with an average age of 45.93 (SD = 16.43) years. A significant increase (p < .01) in the ESCID score was observed during the application of the procedures that produced similar pain levels. Kappa coefficient value obtained for interobserver agreement of ESCID scale scores during the application of care procedures at the intervals being evaluated was greater than 0.84, which should be interpreted as almost perfect. The ESCID scores increased during 2 care procedures that are frequently carried out in intensive care units and indicated that they produced similar pain levels.
PB Lippincott Williams & Wilkins
YR 2018
FD 2018-02-25
LK https://hdl.handle.net/20.500.14352/110289
UL https://hdl.handle.net/20.500.14352/110289
LA eng
NO López-López C, Pérez-Pérez T, Beneit-Montesinos JV, et al. Pain Assessment in Mechanically Ventilated, Noncommunicative Severe Trauma Patients. J Trauma Nurs. 2018;25(1):49-59. doi:10.1097/JTN.0000000000000342
DS Docta Complutense
RD 19 mar 2026